Individual provider Active NPI

Amy L. Vincent, MSPT

  • Physical Therapist
  • Wakefield, RI
National Provider Identifier
1386654705
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
24 Salt Pond Rd Ste D4
Wakefield, RI 02879-4334
Phone
(401) 667-4965
Fax
(401) 667-7243
NPI assigned
Aug 8, 2006
Last updated
Jun 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X PT02055 RI
Orthopedic Physical Therapist 2251X0800X PT02055 RI
Physical Therapist 225100000X Primary

Addresses

Primary practice location

24 Salt Pond Rd Ste D4
Wakefield, RI 02879-4334

Mailing address

24 Salt Pond Rd Ste D4
Wakefield, RI 02879-4334
Phone (401) 667-4965

Other practice location 1

8192 Post Rd
North Kingstown, RI 02852-4418
Phone (401) 667-4965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070123000591 RI Practitioner - Physical Therapist in Private Practice 4486655164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Align Physical TherapyGroup PAC ID 1658680558, 2 clinicians

Practice addresses (Care Compare)

24 Salt Pond Rd
Suite D4
Wakefield, RI 02879-4334
Phone (401) 667-4965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT02055RIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Align Physical Therapy Sports Medicine CurrentSince Aug 14, 2015 Accepting new patients
Body Mechanix Physical Therapy, Inc. Physical Therapist PastSince Aug 1, 2005 Accepting new patients

Locations

8192 Post Rd
North Kingstown, RI 02852
Phone (401) 667-4965

24 Salt Pond Rd
Ste D4
Wakefield, RI 02879
Phone (401) 667-4965

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1386654705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD STE D4",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794334",
            "telephone_number": "401-667-4965",
            "fax_number": "401-667-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD STE D4",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794334",
            "telephone_number": "401-667-4965",
            "fax_number": "401-667-7243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8192 Post Rd",
            "address_purpose": "LOCATION",
            "city": "North Kingstown",
            "state": "RI",
            "postal_code": "028524418",
            "country_code": "US",
            "telephone_number": "401-667-4965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "AMY",
        "middle_name": "L.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "RI",
            "license": "PT02055",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "RI",
            "license": "PT02055",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.